Interleukin-1 kinetics in hemodialysis.

ASAIO transactions Pub Date : 1991-07-01
D Donati, D Degiannis, L Homer, K Raska, J Raskova
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Abstract

Interleukin-1 (IL-1) was measured in the plasma and in mononuclear cell (MC) lysates from patients on maintenance hemodialysis (HD) using either cuprophan (CU) or polysulfone (PS) membranes. Basal plasma levels of IL-1 in HD patients were significantly higher than those of uremic patients on conservative treatment or of healthy subjects. In 10 patients on conservative treatment, plasma levels of IL-1 increased significantly after 3 and 6 months of HD. During a single HD session, plasma IL-1 fell to 21% (CU) and 22% (PS) of pre-HD levels. Hemodialysis patients had a significantly higher intracellular IL-1 content than normal controls. During HD, a further increase was seen regardless of the membrane employed. A parallel in vitro study showed that IL-1 produced during HD requires at least 24 hours to be released, and that both CU and PS are able to bind and clear IL-1.

血液透析中的白细胞介素-1动力学。
采用库泊芬(CU)或聚砜(PS)膜进行维护性血液透析(HD)患者血浆和单核细胞(MC)溶出物中白细胞介素-1 (IL-1)的含量。HD患者的基础血浆IL-1水平明显高于接受保守治疗的尿毒症患者或健康受试者。在10例接受保守治疗的患者中,血浆IL-1水平在HD 3个月和6个月后显著升高。在单次HD治疗期间,血浆IL-1下降到HD前水平的21% (CU)和22% (PS)。血液透析患者细胞内IL-1含量明显高于正常对照组。在HD期间,无论使用哪种膜,都可以看到进一步的增加。一项平行的体外研究表明,在HD过程中产生的IL-1至少需要24小时才能释放,CU和PS都能够结合并清除IL-1。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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